Vakhidov V V, Gambarin B L, Sharapov N U
Khirurgiia (Mosk). 1990 May(5):42-7.
The results of 110 operations for atypical shunting in occlusions of the aorta and the iliac and femoral arteries are analysed. The authors suggest modifications of operations for transverse femoro-femoral shunting with the use of venous autografts. Shunting of lower limb arteries from the branches of the arch of the aorta made it possible to preserve the limb in 58.8% of patients who otherwise would have to be subjected to amputation. Study of the late-term results shows that atypical reconstructive operations allowed the limb to be preserved by an 8-year follow-up period in 76.1% of patients.
分析了110例针对主动脉、髂动脉和股动脉闭塞进行非典型分流手术的结果。作者建议对使用自体静脉移植进行横断股-股分流手术进行改进。通过从主动脉弓分支进行下肢动脉分流,在58.8%的原本可能需要截肢的患者中成功保住了肢体。对远期结果的研究表明,非典型重建手术在76.1%的患者中使肢体在8年随访期内得以保留。